Jilek Clemens, Lewalter Thorsten
Internistisches Klinikum München Süd, Peter-Osypka-Herzzentrum München, Am Isarkanal 36, 81379, München, Deutschland.
Herzschrittmacherther Elektrophysiol. 2017 Dec;28(4):381-387. doi: 10.1007/s00399-017-0531-1. Epub 2017 Oct 25.
Among patients with atrial fibrillation, the bleeding risk is linked to the stroke risk. Left atrial appendage (LAA) occlusion may reduce bleeding risk in high-risk patients. On the basis of a literature analysis and the Consensus Document of European Heart Rhythm Association (EHRA), the indications for a LAA occluder are clarified and a clear decision strategy for daily clinical practice is presented.
在心房颤动患者中,出血风险与中风风险相关。左心耳(LAA)封堵术可能会降低高危患者的出血风险。基于文献分析和欧洲心律协会(EHRA)的共识文件,明确了LAA封堵器的适应证,并提出了日常临床实践的清晰决策策略。